关键词: Calcaneal spur Extracorporeal shock wave therapy Foot function index Pulse electromagnetic field therapy Visual analogue scale

Mesh : Humans Heel Spur / therapy Fasciitis, Plantar / therapy Electromagnetic Fields Retrospective Studies Treatment Outcome Pain

来  源:   DOI:10.34172/aim.2023.94   PDF(Pubmed)

Abstract:
BACKGROUND: Various treatment methods are available for calcaneal spur, which can cause disability. Objective: To evaluate the efficacy of pulsed electromagnetic field therapy (PEMFT) added to extracorporeal shock wave therapy (ESWT) on pain and functional capacity in treating calcaneal spurs.
METHODS: Patients with calcaneal spurs who were recommended ESWT or ESWT+PEMFT and whose Foot Function Index (FFI) and visual analogue scale (VAS) values were available in their records were retrospectively analyzed. The two groups were ESWT (n=35) and ESWT+PEMFT (n=40). FFI and VAS scores were obtained from their records before treatment, after treatment, and in the third month after treatment.
RESULTS: The two groups were similar regarding their pre-treatment FFI and VAS scores. In intra-group evaluation, statistically significant decreases were found in terms of the FFI pain, disability, and activity limitation and VAS scores in both groups after treatment and in the third month after treatment compared to the pre-treatment period. In the comparison between the groups, the post-treatment and post-treatment third-month FFI pain, disability, and activity limitation and VAS scores were significantly lower in the PEMFT+ESWT group than the ESWT group (P<0.001).
CONCLUSIONS: A calcaneal spur is a condition that can cause pain and functional limitation in patients. Various studies have demonstrated the efficacy of ESWT in the treatment of calcaneal spurs. In our study, we observed that PEMFT added to ESWT significantly improved the pain and functionality of the patients. Further studies are needed to evaluate the efficacy of PEMFT in calcaneal spurs.
摘要:
背景:跟骨骨刺有多种治疗方法,这可能会导致残疾。目的:评价脉冲电磁场治疗(PEMFT)加体外冲击波治疗(ESWT)对跟骨骨刺疼痛和功能功能的影响。
方法:回顾性分析推荐ESWT或ESWT+PEMFT且其记录中有足功能指数(FFI)和视觉模拟评分(VAS)值的跟骨骨刺患者。两组均为ESWT(n=35)和ESWT+PEMFT(n=40)。从治疗前的记录中获得FFI和VAS评分,治疗后,在治疗后的第三个月。
结果:两组治疗前FFI和VAS评分相似。在组内评估中,在FFI疼痛方面发现了统计学上的显着下降,残疾,与治疗前相比,两组治疗后和治疗后第3个月的活动限制和VAS评分。在组间比较中,治疗后和治疗后第三个月FFI疼痛,残疾,PEMFT+ESWT组的活动限制和VAS评分显著低于ESWT组(P<0.001)。
结论:跟骨骨刺是一种可引起患者疼痛和功能受限的疾病。各种研究已经证明了ESWT在治疗跟骨骨刺中的功效。在我们的研究中,我们观察到,在ESWT中加入PEMFT可显著改善患者的疼痛和功能.需要进一步的研究来评估PEMFT在跟骨骨刺中的疗效。
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